1. New Contract for Domiciliary Care Have Your Say Workshop 26 th April 2016 Zoe Mayhew Service Manager Commissioning for Older People. Warwickshire County Council

2. Domiciliary Care Services Customers who require domiciliary care are supported with undertaking daily living tasks Services are delivered with the aims of promoting a customer’s independence and it supports them to achieve positive outcomes in all aspects of their life.

3. Service Overview Warwickshire County Council (WCC) commissions Domiciliary Care Services to approximately 2,400 customers, at an average cost of £2 million a month. The current agreement is due to end in December 2016 and is a joint contract with WCC and the three Clinical Commissioning Groups for Continuing Health Care Services Domiciliary Care Services are currently commissioned at varied rates; from £12.60 to £17.84 per hr.

4. Case for Change National evidence base UKHCA Briefing Market Stability Survey – September 2015 Home care: Delivering Personal Care and Practical Support To Older People Living In Their Own Home. Published 23 rd September 2015 Time To Care A UNISON Report Into Homecare – 2012

5. Local evidence base –Too many providers –Quality issues –High costs –Workforce issues

6. Continued… An engagement survey was designed for home care customers and their families to share their views and contribute to the development of home care services in Warwickshire. –Paper version of survey posted out to 2489 existing homecare customers. –Approximately 600 people responded to the survey. –23 telephone calls to home care customers were undertaken –In addition 729 paper surveys were also hand delivered to home care customers –Visits by Council staff to sheltered accommodation took place to engage with customers in receipt of home care service.

7. Your turn to complete the survey With the person sitting next to you complete the survey from a perspective of a Homecare customer You have 15 minutes to complete this exercise

8. As is: Time task 8:30am 30minutes Support with personal care Support with dressing Support to prepare breakfast Prepare snack for later Support to wash and dry top half Apply cream, Talc, Deodorant Dress top half Undress Mrs M bottom half Support to wash and dry bottom half Apply cream, Talc, deodorant Dress bottom half and open curtains Fold night clothes and make bed Empty and clean commode – have to go back upstairs to do this – to empty commode into the toilet Ask Mrs M what she wants for breakfast Go into kitchen to make breakfast and also let dog out into garden for a wee Wash up any pots from the previous night Snack she wants left out for later Go into kitchen and prepare snack Leave snack in fridge for later Fill in contact sheets Make sure Mrs M has fluids in easy reach and pendant/alarm Log out of electronic visit recording Say goodbye to Mrs M Put key back in keysafe Get into car for next call

9. What customers told us.. 6 Key themes: Relationship with Care Staff “I feel my care worker should have the right personal qualities and skills to support me well” “I want my care worker to know about me, who I am and recognise and support me when something is wrong” Communication “It is important to me and my family that there is good communication in the right way and the right time” “ I want to feel confident that I am being listened to and that what I say matters ” Continuity of Care “ I feel well supported when I have regular carers who know me and what support I need” “ I feel safe and am confident in the support I receive” Flexibility of care and support tasks “A more flexible and adaptable service would support me in all aspects of my life” “ I feel that I am supported to do the things I want to do ” Time to Care “To feel fully supported, I need my care at times that suit me and for carers to have enough time to suit me well” “ I am involved in the planning of my own support and providers work with me to provide the care I need” Quality Monitoring “ Regular checks and assessments help me feel confident that my care is working well and I want to be involved in this process” “My opinion matters and I contribute, and am informed about all aspects of my service ”

10. What we will do…

13. Care at Home tender timetable Key MilestoneDate Issue Invitation to Tender document26th February 2016 Tender period4 th April 2016 Evaluation Period3 rd June 2016 Tender Approval8 th July 2016 Enter into new Contract16 th August 2016